William Brent Bush, MD

Key facts

NPI

1043310337

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

31181 (TN)

Practice address

115 E Brooklyn St
Linden, TN 37096-3515

Phone

(931) 589-2104

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coffee Medical Group LLC Rural Health Clinic/Center · Manchester, TN · NPI 1700192028
  Medicare reassignment NPD TN
• DX Mso, PLLC Urgent Care Clinic/Center · Chattanooga, TN · NPI 1225381148
  Medicare reassignment NPD TN
• HH Health System - Shoals LLC Critical Access Hospital · Red Bay, AL · NPI 1073601043
  NPD
• 4MD2 in Patient Physician Services of Decatur LLC Contractor · Decatur, AL · NPI 1134273345
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 28, 2020.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1043310337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2705",
            "address_2": "SUITE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358042705",
            "telephone_number": "256-801-6049",
            "fax_number": "256-801-6218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E BROOKLYN ST",
            "city": "LINDEN",
            "state": "TN",
            "postal_code": "370963515",
            "telephone_number": "931-589-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "WILLIAM",
        "middle_name": "BRENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "31181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, TN

• Shirley Bryant, APRN
• Buffalo River Healthcare LLC
• Buffalo River Medical
• Buffalo River Rehabilitation
• Buffalo River Transport
• County of Perry
• Bethaney Dawn Dabbs, LPN
• Andrea Marie Dewinter, FNP-BC
• Nathan Bradley Dillon
• Hannah Paige Dixon, FNP

All providers in Linden, TN · Internal Medicine Physician in Tennessee